Miraculous Medal in Sterling Silver made in the USA. The fancy shield shaped medal is adorned with a fine detailed Blessed Mother Mary with rays coming out of her extended hands. The reverse side of the medal portrays an "M" with a cross on the top and the "Sacred Hearts" underneath surrounded by twelve stars. Die striking only the finest grade solid sterling silver, enables the intricate details of the coined precious metal to fully show when the antique finish from hand polishing is applied to each medal. It is then highlighted by hand engraving, to display the beautiful sheen of pure sterling. Supplied with an 18" genuine rhodium plated chain in a deluxe gift box. Dimensions: 7/8" x 9/16"If you would like Professional Engraving for $20, call in your order to (888)664-1123, x1.